VARYING TISSUE COMPRESSION USING TAKE-UP COMPONENT

• US 20090277947A1
• Filed: 04/03/2009
• Published: 11/12/2009
• Est. Priority Date: 05/09/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Viola, Frank
• Granted Patent: US 8,091,756 B2
• Time in Patent Office: Days
• US Class Current: 227/176.100
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/07235 containing different staples, e.g. staples of different shapes, sizes or materials
• CPC Class Codes: A61B 2017/07242 achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
• CPC Class Codes: A61B 2017/0725 with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2017/07264 characterised by its staple forming cavities, e.g. geometry or material
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments

Abstract

The present disclosure relates to surgical fastener applying apparatus, and the application of variable compression to tissue. More specifically, the presently disclosed surgical fastener applying apparatus act to limit the flow of blood through tissue immediately adjacent a cut-line formed therein to effectuate hemostasis, while maximizing the flow of blood through tissue more removed from the cut-line to limit unnecessary necrosis. In one embodiment, a surgical fastener applying apparatus is disclosed having a tool assembly coupled to a distal end thereof with first and second jaws respectively including an anvil and a surgical fastener cartridge. The surgical fastener cartridge includes, among other things, a hemostasis member that is configured to apply at least two different compressive forces to tissue clamped between the first and second jaws of the tool assembly.

Claims

1. A surgical fastener applying apparatus, comprising:

a first jaw having proximal and distal ends and including an anvil member, the anvil member extending along a longitudinal axis and including a tissue contacting surface;

a second jaw having proximal and distal ends movably coupled to the first jaw and including a cartridge member; and

a hemostasis member positioned between the first jaw and the second jaw, the hemostasis member having a stepped profile configured and dimensioned to apply at least two different compressive forces to tissue during approximation of the first and second jaws.

2. The surgical fastener applying apparatus of claim 1, wherein the hemostasis member is configured and dimensioned such that the compressive forces are varied along an axis transverse to the longitudinal axis.

3. The surgical fastener applying apparatus of claim 2, wherein the hemostasis member is configured and dimensioned such that the compressive forces applied to the tissue decreases outwardly relative to a centerline of the cartridge member such that blood flow through the tissue nearer to the centerline of the cartridge member is less than blood flow through the tissue further from the centerline of the cartridge member.

4. The surgical fastener applying apparatus of claim 1, wherein the hemostasis member is configured and dimensioned such that the compressive forces are varied along the longitudinal axis.

5. The surgical fastener applying apparatus of claim 4, wherein the hemostasis member is configured and dimensioned such that the compressive forces applied to the tissue decrease in a proximal direction along the longitudinal axis such that blood flow through the tissue nearer to the distal ends of the anvil member and the cartridge member is less than blood flow through the tissue nearer to the proximal ends of the anvil member and the cartridge member

6. The surgical fastener applying apparatus of claim 4, wherein the hemostasis member is configured and dimensioned such that the compressive forces applied to the tissue decrease in a distal direction along the longitudinal axis such that blood flow through tissue nearer to the proximal ends of the anvil member and the cartridge member is less than blood flow through tissue nearer to the distal ends of the anvil member and the cartridge member.

7. The surgical fastener applying apparatus of claim 2, wherein the stepped profile of the hemostasis member defines a first tissue contacting surface and a second tissue contacting surface, the second tissue contacting surface being positioned outwardly of the first tissue contacting surface relative to the longitudinal axis, the first tissue contacting surface defining a first gap with the tissue contacting surface of the anvil member and the second tissue contacting surface defining a second gap with the tissue contacting surface of the anvil member, the second gap being larger than the first gap.

8. The surgical fastener applying apparatus of claim 7, wherein the first and second tissue contacting surfaces are generally planar in configuration.

9. The surgical fastener applying apparatus of claim 7, wherein the first tissue contacting surface is connected to the second tissue contacting surface via a first wall surface, the first wall surface having a generally tapered configuration.

10. The surgical fastener applying apparatus of claim 7, wherein the stepped profile of the hemostasis member further defines a third tissue contacting surface positioned outwardly of the second tissue contacting surface relative to the longitudinal axis, the third tissue contacting surface defining a third gap with the tissue contacting surface of the anvil member that is larger than the second gap.

11. The surgical fastener applying apparatus of claim 10, wherein the second tissue contacting surface is connected to the third tissue contacting surface via a second wall surface, the second wall surface having a generally tapered configuration.

12. The surgical fastener applying apparatus of claim 1, further including a plurality of surgical fasteners positioned within the cartridge member, each surgical fastener having a substantially equivalent height.

13. The surgical fastener applying apparatus of claim 1, wherein the hemostasis member is formed of a substantially resilient material to support layers of tissue positioned between the first and second jaws.

14. The surgical fastener applying apparatus of claim 1, wherein the hemostasis member is fixedly secured to the cartridge member.

15. The surgical fastener applying apparatus of claim 1, wherein the hemostasis member is releasably secured to the cartridge member.

16. The surgical fastener applying apparatus of claim 1, wherein the anvil member includes a plurality of pockets formed therein, each pocket includes a forming surface extending into the tissue contacting surface of the anvil member to define a substantially equivalent depth.

17. A hemostasis member for use with a surgical fastener applying apparatus including an anvil and a cartridge having a plurality of surgical fasteners arranged in at least one row, the hemostasis member being shaped and configured to overlie the at least one row of surgical fasteners, the hemostasis member including a profile shaped, configured and dimensioned to apply at least two different compressive forces to tissue during approximation of the anvil member and the cartridge member.

18. The hemostasis member of claim 17, wherein the surgical fastener applying apparatus has a longitudinal axis and the anvil and cartridge extend generally along the longitudinal axis, the hemostasis member being configured and dimensioned such that the compressive force is varied along an axis transverse to the longitudinal axis.

19. The hemostasis member of claim 18, wherein the hemostasis member is configured and dimensioned such that the compressive force applied to the tissue decreases outwardly relative to a centerline of the cartridge member such that blood flow through the tissue nearer to the centerline of the cartridge member is less than blood flow through the tissue further from the centerline of the cartridge member.

20. The hemostasis member of claim 17, wherein the hemostasis member is configured and dimensioned such that the compressive force is varied along the longitudinal axis.

21. The hemostasis member of claim 17, wherein the surgical fastener applying apparatus has a longitudinal axis and the anvil and cartridge are arcuate in shape, the anvil and cartridge extending transversely to the longitudinal axis, the hemostasis member being configured and dimensioned such that the compressive force is varied along an axis transverse to the longitudinal axis.